老年胫骨骨干骨折：开放性骨折与死亡率增加无关。
Elderly tibial shaft fractures: Open fractures are not associated with increased mortality rates.
机构信息
Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds, UK.
出版信息
Injury. 2010 Jun;41(6):620-3. doi: 10.1016/j.injury.2009.12.013. Epub 2010 Feb 1.
OBJECTIVES
This study aims to assess whether elderly patients (>65 years) with open tibial shaft fractures (OFs) have increased mortality rates than those with closed fractures (CFs).
PATIENTS AND METHODS
Patients admitted during 2003-2005 with open/closed diaphyseal (AO 42) fractures of the tibia were eligible to participate.
EXCLUSION CRITERIA
Pathological and peri-prosthetic fractures.
RESULTS
A total of 54 patients (38 females) met the inclusion criteria. Twenty-six patients had sustained CF and 28 OF (Gustilo grade I (11), grade II (five), grade IIIa (two) and grade IIIb (10)). The OF group was statistically significantly different with higher injury severity score, secondary procedures and length of hospital stay (p<0.05). A higher rate of admission/length of stay to intensive care unit and complication rate was noted in the OF group. Mortality rate between the two groups was comparable (CF=2/26, OF=3/28).
CONCLUSIONS
Elderly patients with OFs of the tibial shaft have similar mortality rate to those with CFs.
目的
本研究旨在评估老年（>65 岁）胫骨开放性骨折（OFs）患者的死亡率是否高于闭合性骨折（CFs）患者。
患者和方法
2003-2005 年期间，符合纳入标准的患者为胫骨开放性/闭合性（AO 42）骨干骨折患者。
排除标准
病理性骨折和假体周围骨折。
结果
共有 54 名患者（38 名女性）符合纳入标准。26 名患者为 CF，28 名患者为 OF（Gustilo Ⅰ级（11）、Ⅱ级（5）、Ⅲa 级（2）和Ⅲb 级（10））。OF 组在损伤严重程度评分、二次手术和住院时间方面存在统计学差异（p<0.05）。OF 组的入住 ICU 率/住院时间和并发症发生率更高。两组死亡率相当（CF=2/26，OF=3/28）。
结论
老年胫骨 OFs 患者的死亡率与 CFs 患者相似。
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